HCPCS J0517

Injection, benralizumab, 1 mg (CMS descriptor)

Drugs Drug code Work RVU per service none (2022 fee schedule; adds 0 work RVUs)

181
72nd percentile among 6,326 codes billed · 2022
$37M
95th percentile among 6,326 codes billed · 2022
283K
91st percentile among 6,326 codes billed · 2022
1,321
96th percentile among 6,326 codes billed · 2022
3,300
95th percentile among 6,326 codes billed · 2022
+16.3%
Medicare payment on the code vs 2021; billers +22.3% · 2022

Trend

Medicare payment on the code

$0$20M$40M2020: $25M paid20202021: $32M paid20212022: $37M paid20222023: $40M paid20232024: $42M paid2024$42M$0$20M$40M2020: $25M paid20202021: $32M paid20212022: $37M paid20222023: $40M paid20232024: $42M paid2024$42M$0$20M$40M2020: $25M paid20202021: $32M paid20212022: $37M paid20222023: $40M paid20232024: $42M paid2024$42M$0$20M$40M2020: $25M paid20202021: $32M paid20212022: $37M paid20222023: $40M paid20232024: $42M paid2024$42M

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). Data years 2020–2024.

Billers

01002002020: 110 providers20202021: 148 providers20212022: 181 providers20222023: 200 providers20232024: 202 providers202420201002002020: 110 providers20202021: 148 providers20212022: 181 providers20222023: 200 providers20232024: 202 providers202420201002002020: 110 providers20202021: 148 providers20212022: 181 providers20222023: 200 providers20232024: 202 providers202420201002002020: 110 providers20202021: 148 providers20212022: 181 providers20222023: 200 providers20232024: 202 providers2024202

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). Data years 2020–2024.

observed calculated calculated calculated calculated calculated reported
2024202$42,232,208+7%326,2671,3353,6610.00
2023200$39,638,328+7%304,1231,2303,7200.00
2022181$36,957,798+16%282,5111,3213,3000.00
2021148$31,779,944+28%234,2771,2483,8970.00
2020110$24,789,771first year in data184,7531,3223,9390.00

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). Data years 2020–2024.

By state

observed calculated calculated calculated calculated calculated
Texas24$3,812,95329,1001,1102,121
Virginia16$3,803,53829,0401,1704,253
South Carolina13$3,178,53324,1281,4104,020
Pennsylvania12$2,829,14421,4211,6203,204
Tennessee14$2,487,30218,9351,1103,036
Florida11$1,758,30813,3508702,745

Not listed: 25 states with fewer than 11 billers (small cells).

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). Providers placed by practice address. Data year 2022.

Top metro areas

observed calculated calculated calculated calculated
Richmond, VA11$1,399,19410,710870

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). The 1 areas with the most payment among those with at least 11 billers; non-metro parts of each state are one area. Data year 2022.

Specialties billing J0517 nationally

Nurse Practitioner accounts for 33% of payment for J0517 nationally in 2022, across 4 specialties on claims.

observed calculated calculated calculated calculated calculated
Nurse Practitioner7139%$12,162,62733%92,4961,303
Allergy/ Immunology3922%$9,403,36325%72,0451,847
Pulmonary Disease2715%$5,658,69915%43,9261,627
Internal Medicine126.6%$2,324,0476.3%17,6431,470

Not listed: 9 specialties with fewer than 11 billers (small cells).

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). Provider-level lines (fewer than 11 beneficiaries suppressed by CMS); specialty is the provider type on claims. Data year 2022.

Top billers of J0517 nationally

Named top billers are a Pro figure, and Pro is not available to buy, so this list is not shown to any account. The counts and totals by state, metro area and specialty on this page are free.

Original Medicare Part B fee-for-service only; CMS suppresses provider lines with fewer than 11 beneficiaries. How these figures are computed · Limitations